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  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Pace.pdf
    January 01, 2004 - Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative 63 Developing a Taxonomy for Coding Ambulatory Medical Errors: A Report from the ASIPS Collaborative Wilson D. Pace, Douglas H. Fernald, Daniel M. Harris, L. Miriam Dickinson, Rodrigo Araya-Guerra, Elizabeth W. …
  2. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Miranda.pdf
    July 01, 2004 - Speaking Plainly: Communicating the Patient’s Role in Health Care Safety 139 Speaking Plainly: Communicating the Patient’s Role in Health Care Safety David J. Miranda, Paula K. Zeller, Rosemary Lee, Christopher P. Koepke, Howard E. Holland, Farah Englert, Elaine K. Swift Abstract The development and tes…
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
    January 01, 2004 - Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) 325 Developing a Taxonomy of Anesthetists’ Nontechnical Skills (ANTS) Rona Patey, Rhona Flin, Georgina Fletcher, Nicola Maran, Ronnie Glavin Abstract Safety research in high-reliability industries, such as aviation, has clearly shown that t…
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Bonner.pdf
    January 01, 2004 - Suicide Risk Response: Enhancing Patient Safety Through Development of Effective Institutional Policies 507 Suicide Risk Response: Enhancing Patient Safety Through Development of Effective Institutional Policies Laura Bonner, Bradford Felker, Edmund Chaney, Karen Vollen, Karen Berry, Barbara Revay, Barbara Sim…
  5. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-rev.pdf
    November 01, 2023 - AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Healthcare Facility Design 1 PATIENT SAFETY AHRQ-Funded Patient Safety Project Highlights Improving Healthcare Safety by Enhancing Healthcare Facility Design Overview Research has shown that optimizing the physical, function…
  6. www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/qi-strategies.html
    July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit Quality Improvement Strategies Previous Page   Table of Contents Pediatric Asthma Emergency Department Use Toolkit Introduction Overview About the Measure Key Driver Diagram Quality Improvement Strategies This section of the…
  7. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/report/apiiif.html
    June 01, 2010 - Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Appendix III (continued) Previous Page Next Page Table of Contents Environmental Scan of Measures for Medicaid Title XIX Home and Community-Based Services Executive Summary Introduction and Scan Methodology …
  8. www.ahrq.gov/sites/default/files/2024-12/moore-report.pdf
    January 01, 2024 - Final Progress Report: Identifying Unnecessary Irradiation of Patients With Suspected Renal Colic October 31, 2014 Title Page • Title of Project. Identifying Unnecessary Irradiation of Patients with Suspected Renal Colic • Principal Investigator and Team Members. Christopher L. Moore MD, Cary Gross MD, Ann…
  9. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/measure_retirement/supplemental-materials/supplementaldoc2.pdf
    September 01, 2014 - Supplemental Document 2 The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ and the Centers for Medicare & Medicaid Services (CMS). No statement in this report should be construed as an official position of…
  10. www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-10-implementation-guide.pdf
    April 16, 2022 - 1 TAKEheart Hybrid Cardiac Rehabilitaton {CR) Implementation Guide - Module 10 Using Hybrid Cardiac Rehabilitation to Expand System Capacity and Patient-Centeredness Table of Contents This document is hyperlinked to facilitate ease of access to the information contained inside. Press "ctrl" and …
  11. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata3a.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Chapter 3: Defining Categorization Needs for Race and Ethnicity Data Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary R…
  12. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/003-ss-antimicrobial-prophylaxis-part-2-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Antimicrobial Prophylaxis: Part 2 Beyond the Basics Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Antimicrobial Prophylaxis: Part 2, Beyond the Basics SAY: This pr…
  13. www.ahrq.gov/sites/default/files/2025-02/kleinman2-report.pdf
    January 01, 2025 - Final Progress Report: Improving Implementation and QI Research with Regression Risk Analysis Title Page Title: Improving Implementation and QI Research with Regression Risk Analysis Principal Investigator: Lawrence C. Kleinman, MD, MPH Key Team Members: Edward C. Norton, PhD Jason Wang, PhD Kasey Coyne Morgen …
  14. www.ahrq.gov/sites/default/files/2024-01/johnson-baughman-report.pdf
    January 01, 2024 - Final Progress Report: Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? Show Your Work: Do Prescription Annotations Impact Near-miss Medication Errors? Kevin B. Johnson, MD, MS (PI) Associate Professor, Biomedical Informatics Associate Professor, Pediatrics Vanderbilt Universi…
  15. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight12.pdf
    January 01, 2020 - How are CHIPRA quality demonstration States improving perinatal care? Evaluation Highlight No. 12 The CHIPRA Quality Demonstration Grant Program In February 2010, the Centers for Medicare & Medicaid Services (CMS) awarded 10 grants, funding 18 States, to improve the quality of health care for children enrolled …
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/guide-surgcomp.pdf
    December 01, 2017 - Surgical Complication Prevention Guide AHRQ Safety Program for Surgery Surgical Complication Prevention Guide AHRQ Publication No. 16(18)-0004-13-EF December 2017 AHRQ Safety Program for Surgery Surgical Complication Prevention Guide Contents Introduction .................................................…
  17. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/advance-organizational-safety-strategies-slides.pdf
    June 18, 2024 - NAA National Webinar May 2024 - Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Action Plan Foundations Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Act…
  18. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/pf-engagement-fac-notes.html
    May 01, 2017 - Patient and Family Engagement in the Surgical Environment Module: Facilitator Notes Slide 1: Patient and Family Engagement in the Surgical Environment Module Say: The purpose of the Patient and Family Engagement in the Ambulatory Surgical Environment module is to augment the existing hospital setting Pati…
  19. www.ahrq.gov/patient-safety/reports/liability/crane.html
    August 01, 2017 - Advances in Patient Safety and Medical Liability Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned Previous Page Next Page Table of Contents Advances in Patient Safety and Medical Liability Preface Acknowledgments Prologue Silence A Commenta…
  20. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Singh-R_68.pdf
    April 20, 2008 - Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Building Self-Empowered Teams for Improving Safety in Postoperative Pain Management Ranjit Singh, MA, MB, BChir (Cantab), MBA; Bruce Naughton, MD; Diana Anderson, EdM; Donna McCourt, RN, BSN; Gurdev Singh, MScEng, PhD Abstrac…

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